Getting XALKORI®

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Filling your XALKORI (crizotinib) prescription
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You can get XALKORI through certain specialty pharmacies. These are pharmacies that handle medicines, including XALKORI, that are often not stocked at regular neighborhood pharmacies. The specialty pharmacy can help you verify your insurance and set up the delivery of your prescription.

Filling XALKORI® (crizotinib) Rx | Safety Info
Find information on filling a XALKORI® (crizotinib) prescription through certain specialty pharmacies.

XALKORI <strong>Financial Assistance</strong>

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Helping you get the medicine you need
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Pfizer Oncology Together Banner

If needed, we’ll help you find financial assistance options for your prescribed XALKORI, regardless of your insurance coverage.

Select an insurance status

Commercially Insured?

Resources for eligible patients with commercial, private, employer, or state health insurance marketplace coverage:

Co-pay Assistance

Eligible, commercially insured patients may pay as little as $0 per month for XALKORI. Limits, terms, and conditions apply.*

Patients may receive up to $9,450 per product in savings annually. There are no income requirements, forms, or faxing to enroll.

Pfizer Co-pay cardEnroll now

*Patients are not eligible to use this card if they are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico. Patients may receive up to $9,450 per product in savings annually. The offer will be accepted only at participating pharmacies. This offer is not health insurance. No membership fees apply. Pfizer reserves the right to rescind, revoke, or amend this offer without notice. For full Terms and Conditions, please see PfizerOncologyTogether.com/terms. For any questions, please call 1-877-744-5675, visit PfizerOncologyTogether.com/terms, or write: Pfizer Oncology Together Co-Pay Savings Program, 2250 Perimeter Park Drive, Suite 300, Morrisville, NC 27560.

Medicare/Government Insured?

Help identifying resources for eligible patients with Medicare/Medicare Part D, Medicaid, or other government insurance plans who express a financial need:

  • We can assist patients with searching for financial support from alternate funding resources, which may include financial assistance through Extra Help, a Medicare Part D Low-Income Subsidy (LIS) program
  • If support from alternate funding resources or Medicare Extra Help is not available, Pfizer Oncology Together will see if patients are eligible for the Pfizer Patient Assistance Program,† which can provide prescribed Pfizer Oncology medicines for free

Uninsured?

Help identifying resources for eligible patients without any form of healthcare coverage:

  • We can check patient eligibility for Medicaid and help them understand how to apply
  • Patients who do not qualify for Medicaid may receive free medicine through the Pfizer Patient Assistance Program.† Patients must be eligible and reapply as needed

†The Pfizer Patient Assistance Program is a joint program of Pfizer Inc. and the Pfizer Patient Assistance Foundation™. Free medicines from Pfizer are provided through the Pfizer Patient Assistance Foundation™. The Pfizer Patient Assistance Foundation™ is a separate legal entity from Pfizer Inc. with distinct legal restrictions.

To Get Started

Call 1-877-744-5675

(Monday–Friday 8AM–8PM ET)

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Terms and Conditions

By using this co-pay card or by mailing in this rebate, you acknowledge that you currently meet the eligibility criteria and will comply with the Terms and Conditions described below:

  • Patients are not eligible to use this card or participate in the rebate program if they are enrolled in a state or federally funded insurance program, including but not limited to Medicare, Medicaid, TRICARE, Veterans Affairs health care, a state prescription drug assistance program, or the Government Health Insurance Plan available in Puerto Rico (formerly known as “La Reforma de Salud”).
  • Patient must have private insurance. Offer is not valid for cash-paying patients.
  • With this card, eligible patients will pay a $0 co-pay per eligible monthly prescription, subject to a maximum amount of $9,450 per product per calendar year. The amount of any benefit is the difference between your co-pay and $0. After the annual maximum of $9,450 per product is reached, you will be responsible for the remaining monthly out-of-pocket costs. This card may not be redeemed more than once per 30 days.
  • This co-pay card and rebate are not valid when the entire cost of your prescription drug is eligible to be reimbursed by your private insurance plan or other private health or pharmacy benefit programs.
  • You must deduct the value of this co-pay card or value received under this rebate from any reimbursement request submitted to your insurance plan, either directly by you or on your behalf.
  • You are responsible for reporting use of the co-pay card or receipt of rebate to any private insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled using the co-pay card or which the patient receives a rebate, as may be required. You should not use the co-pay card or rebate program if your private insurer or health plan prohibits use of manufacturer coupons, co-pay cards, debit cards or similar savings programs.
  • This co-pay card and rebate are not valid where prohibited by law.
  • This card and rebate cannot be combined with any other savings, free trial, or similar offer for the specified prescription.
  • Card will be accepted only at participating pharmacies.
  • This card and rebate are not health insurance.
  • Offer good only in the U.S. and Puerto Rico.
  • Card is limited to 1 per person during this offering period and is not transferable.
  • No other purchase is necessary.
  • Data related to your redemption of the co-pay card and/or rebate may be collected, analyzed, and shared with Pfizer for market research and other purposes related to assessing Pfizer’s programs. Data shared with Pfizer will be aggregated and de-identified; it will be combined with data related to other co-pay card redemptions and will not identify you.
  • Pfizer reserves the right to rescind, revoke, or amend this offer and rebate program without notice.
  • Offer and rebate program expires 12/31/2024.

  • If your pharmacy does not participate in the co-pay program, you may be able to submit a request for a rebate in connection with this offer:

    • Mail a copy of the patient’s original pharmacy receipt indicating patient name, name of medication purchased, price paid, and date purchased, accompanying your prescription, as proof of purchase, along with a copy of the patient’s Pfizer Oncology Together Co-Pay Savings Card, to:

      Pfizer Oncology Together Co-Pay Savings Program
      2250 Perimeter Park Drive, Suite 300,
      Morrisville, NC 27560. 
      Receipt will not be returned.

    • The patient will receive a maximum of $9,450 per product per calendar year or the amount of the co-pay paid, whichever is less.
    • Rebate will be mailed to patients approximately 6 to 8 weeks after receipt of required documentation or earlier, as required by law.
XALKORI® (crizotinib) Financial Assistance | Safety Info
Learn about financial support options for patients prescribed XALKORI®, including a co-pay card for eligible patients, available through Pfizer Oncology Together™.